Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN C SAMPLE, LCPC
Active Sole ProprietorMR. JOHN C SAMPLE, LCPC is a Professional Counselor healthcare provider located in CORDOVA, Illinois. NPI 1437374824 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CORDOVA, IL
Registration Details
- NPI Number
- 1437374824
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.329740512225 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
23616 157TH AVE NCORDOVA, IL, 612429771Browse IL providers · Browse ZIP 61242
- Phone
- 3096542402
- Fax
- 3096542885
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.